A 65-year-old gentleman visited his primary care provider with mechanical back pain
in the absence of trauma. Previously active, he experienced reduced effort tolerance
and required assistance in daily activities gradually over a period of 2 years, coupled
with a significant weight loss (7% in 1 month). He has a history of diabetes mellitus,
dyslipidemia, and chronic obstructive pulmonary disease. Initial investigations revealed
hyponatremia: he was referred to the hospital for suspected syndrome of inappropriate
antidiuretic hormone secretion (SIADH).
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References
- From mindless to mindful practice–cognitive bias and clinical decision making.N Engl J Med. 2013; 368: 2445-2448
- Pseudohyponatremia revisited: a modern-day pitfall.Arch Pathol Lab Med. 2011; 135: 516-519
- Diagnosis, evaluation, and treatment of hyponatremia: expert panel recommendations.Am J Med. 2013; 126: S1-S42
Article Info
Publication History
Published online: October 13, 2021
Footnotes
Funding: No funding was required for this manuscript.
Conflicts of Interest: None of the authors have any conflicts of interest to declare.
Authorship: All authors had access to the data and a role in writing the manuscript.
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
